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[Acute Gastroenteritis in hospitalized children. 14-Year evolution]

C Alcalde Martín1, L Gómez López, M I Carrascal Arranz

  • 1Servicio de Pediatría, Hospital Universitario Río Hortega, Valladolid, Spain.

Anales Espanoles De Pediatria
|February 6, 2002
PubMed

Insights

This study analyzed pediatric acute gastroenteritis, finding rotaviruses most common. Bacterial gastroenteritis, marked by fever and bloody stools, was distinguished from viral causes.

Area of Science:

  • Pediatric infectious diseases
  • Microbiology
  • Clinical epidemiology

Context:

  • Acute gastroenteritis is a significant cause of pediatric hospitalization.
  • Understanding the etiological agents and clinical presentations is crucial for effective management.
  • Longitudinal data provides insights into trends and differences in disease patterns.

Purpose:

  • To analyze the etiology and clinical evolution of acute gastroenteritis in hospitalized children.
  • To differentiate between viral and bacterial gastroenteritis based on clinical and laboratory findings.
  • To identify trends in hospital admissions for specific enteropathogens over time.

Summary:

  • Rotaviruses were the most frequent cause of acute gastroenteritis in hospitalized children (46.5%).
  • Bacterial gastroenteritis, caused by Salmonella, E. coli, and Shigella, showed distinct clinical features including hyperthermia and fecal blood.
  • Hospital admissions for Salmonella, E. coli, Shigella, and adenoviruses significantly decreased during the study period (1987-2000).

Impact:

  • Identifies key clinical indicators (fever, bloody stools) for distinguishing bacterial from viral gastroenteritis in children.
  • Highlights the declining incidence of certain bacterial and viral pathogens, potentially due to public health interventions.
  • Provides valuable etiological and epidemiological data for pediatric infectious disease research and clinical practice.
Abstract

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